Drainage of mouth lesion at Adventhealth North Pinellas
1395 S Pinellas Ave, Tarpon Springs, FL · AdventHealth · · NPI 1568473015
$6,330.58
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$6,330.58
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$377.00 with Humana vs $1,250.32 with Sunshine Health — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Humana | Medicare Managed Care - Hmo | $377.00 | ↓ -94% |
| Humana | Careplus Medicare Managed Care - Hmo | $563.21 | ↓ -91% |
| Bcbs | Medicare Managed Care - Hmo | $574.47 | ↓ -91% |
| Longevity Health Plan | Medicare Managed Care Plan | $580.11 | ↓ -91% |
| Aetna | Medicare Managed Care - Hmo/Ppo | $585.74 | ↓ -91% |
| Freedom Health | Medicare Managed Care - Hmo | $591.37 | ↓ -91% |
| Simply Healthcare | Medicare Managed Care - Hmo | $597.00 | ↓ -91% |
| Cigna | Medicare Managed Care - Hmo/Ppo | $602.63 | ↓ -90% |
| Wellcare | Medicare Managed Care - Hmo/Ppo | $630.79 | ↓ -90% |
| Oscar | Individual Epo | $1,243.90 | ↓ -80% |
| Sunshine Health | Ambetter Exchange | $1,250.32 | ↓ -80% |
Visitor-reported prices
Comments
Drainage of mouth lesion at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $1,604.13 | $535.05 – $940.00 |
| Adventhealth Palm Coast Parkway | Palm Coast | $1,604.13 | $535.05 – $1,202.96 |
| cleveland clinic florida weston hospital | Weston | $1,903.85 | $183.81 – $2,489.65 |
| martin north hospital | Stuart | $1,903.85 | $342.63 – $2,196.75 |
| indian river hospital | Vero Beach | $1,060.80 | $183.81 – $1,387.20 |
| Adventhealth Palm Coast | Palm Coast | $1,604.13 | not published |
| AdventHealth Orlando | Orlando | $1,707.00 | $563.21 – $1,492.50 |
| Adventhealth Carrollwood | Tampa | $5,519.35 | $401.00 – $1,250.32 |